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1184025546
TERRENCE WYATT
CLINTON, SC
NPI
1184025546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2014-09-04
Last Update Date
2014-09-04
Business Address
TERRENCE WYATT
219 HUMAN SERVICES RD
CLINTON, SC 29325-7548
Phone number: 864-833-6500
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Mailing Address
TERRENCE WYATT
219 HUMAN SERVICES RD
CLINTON, SC 29325-7548
Phone number:
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